Buccal Mucosa a Narrative Review: How Does It Work, How Is It Used, What Is Coming Next.

Publication/Presentation Date

5-1-2026

Abstract

Buccal mucosa grafts (BMG) have become the standard for complex urethral reconstruction due to unique regenerative properties, including rapid re-epithelialization, minimal inflammation, and tightly controlled fibroblast action that results in "scarless healing". These characteristics reflect fetal-like wound healing phenotypes with distinct fibroblast subpopulations and favorable inflammatory profiles. BMG have applications across the genitourinary tract from renal pelvis to external genitalia. Emerging technologies-tissue-engineered oral mucosal substitutes, extracellular vesicles, and organoid systems-offer future possibilities for patients who need large reconstructions. However, clinical translation requires manufacturing standardization and cost reduction. This review outlines BMG biology and highlights future urologic applications.

Volume

211

First Page

113

Last Page

119

ISSN

1527-9995

Disciplines

Medicine and Health Sciences | Pediatrics

PubMedID

41833619

Department(s)

Department of Pediatrics, Department of Surgery

Document Type

Article

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